OPAT in older adults

“Amid the on-going COVID-19 pandemic, innovations in OPAT are needed to shepherd OPAT care into a more patient-centered, thoughtful practice, whereas minimizing harm to older patients from unnecessary health-care exposure and thus health-care associated infections” Oliver and Skalweitbn(2023).

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Femorally inserted central catheter tip location

“The intraprocedural method of tip location of FICCs by transhepatic ultrasound was applicable in 97.6% of cases and feasible in 100%. When the position of the catheter tip is planned to be in the subdiaphragmatic IVC, this method of tip location is accurate, safe, and inexpensive, and should be considered as an alternative to fluoroscopy” Annetta et al (2023).

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Skin reactions associated with dressing adhesives

“Use of continuous glucose measurement (CGM) systems and continuous subcutaneous insulin infusion (CSII) devices adhering to the skin can lead to skin reactions. The objective was to determine the prevalence and consequences of skin reactions to CGM or CSII infusion sites in a large, unbiased population” Diedisheim et al (2023).

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Why are blood samples rejected – Full Text

“Clinical laboratory errors have a great impact on patient safety and treatment. Although specimen rejections result in longer turnaround times and increased health-care costs, different studies present inconsistent findings” Getawa et al (2022).

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Home parenteral nutrition ESPEN guideline – Full Text

“The guideline is based on previous published guidelines and provides an update of current evidence and expert opinion; it consists of 71 recommendations that address the indications for HPN, central venous access device (CVAD) and infusion pump, infusion catheter and CVAD site care, nutritional admixtures, program monitoring and management” Pironi et al (2023).

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Arteriovenous fistula cannulation technique

“We describe seven items that can help nurses to identify the appropriate cannulation technique: type of arteriovenous access; drainage vein; hygienic self-care profile; experience of the nursing staff in the cannulation technique and nurse-to-patient ratio; hemodialysis treatment method; patient’s condition; and patient’s decision” Sousa et al (2023).

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Ultrasound-guided long peripheral intravenous catheters – Full Text

“In critically ill pediatric patients with difficult vascular access, ultrasound-guided long peripheral intravenous catheters provide an alternative to traditional approach standard-sized intravenous catheters with improved longevity, lower failure rates, and reduced need for additional vascular interventions” Dachepally et al (2023).

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IV filter replacement interval recommendation – Full Text

“Our study revealed differences in bacterial removal and flow rate under high inoculation among each of three tested in-line filters. We suggest the continuous use of in-line filters for a maximum of six days, while reductions in flow rate after 48 h of continuous use should be carefully noted” Kato et al (2023)

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PICC complications in HSCT patients – Full Text

“The results obtained indicate that regarding the appearance of complications associated with PICCs in home hospitalization HSCT patients, there are no significant differences compared to hospitalization, so that home care can be a safe context for people with these lines” Garcés-Carrasco et al (2023).

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